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Date By
FOUNDATION WALLS
Date By
......................:...........................................................
..................................................................................
..................................................................................
..................................................................................
PLUMBING.:GROUNDWORK
Date By
..................................................................................
.................................................................................
..................................................................................
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING.R:OUGH=IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
................................................. ............. ............. . .
Date By
MECHANICAL (OTHER) /f-3347'/ /tirrT- <v fT AA✓
Date By
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Date By
INSULATION:
Date By
I GWB- 1ST LAYER
Date By
GWB>- 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
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RECEIVED ..
CITY OF •
—^ 33530 First Way South NOV p 91994
• Federal Way, WA 98003
Ij CLQ (206)661-4000 ;17Y OF FEDERAL.WAY
\, ) ,
"'I(_DING DEPT
APPLICATION FOR MECHANICAL PERMIT 6 t____D ci LI -661,7
PARCEL ff•ii -'61Vwi 1 L Single Family n Multi-Family 0 Commercial 0
SITE LOCATION:
Tenant/Owner: t`tY-FiWY I1� 14-4- Phone:
Address/City/State/Zip: 15 a Zt, �14/ frif a1 7(.4 , % v.)7,.-3_,
r.
Nature of work:iklcikt I G�LUQ > Project Valuation: $ -1)551.•
APPLICANT:
Name: 0 ' C((C/I/13
Address/City/St/Zip: 7- ( ' ni ` `L-- a. "lX 11-
Contact Person: Phone: iu'Z '&ICI I Fax: —� `
MECHANICAL CONTRACTOR:
Company Name: JuG ✓ `I- 1
Address/City/St/Zip: ( f) \ I :<i IA-LP 'Gt.4-( qtS (/q
Contact Person: i(fa Phone: .---- —Z....42(.106__. Fax:
State L & I Contractor Registration #: 0601-4-1Aatln:=3l - Exp. Date:T-7/2171°4—/
(Card must be presented)
MECHANICAL UNIT COUNT: `
Fuel Type (gas/other) Gas Dryer Air Handling < = 10,000cfm Fuel Tanks:
Length of gas piping Range Air Handling > = 10,000cfm Above Ground
Furn <100K BTU's Gas Log Unit Heater Underground
Furn >100K BTU's Fans Boiler BTU/H Miscellaneous
Gas Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work A/C TONS Other
� � > `» 'BB4s Wood Stoves A/C TONS `'�Eat<3�it�rE�� z 'z ; >z�> <: >
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above
premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses and attorneys'fees
incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim arises
out of the reliance of 7'w-in •irg its officers and employees,upon the accuracy of the information supplied to the City as a part of this application.
Owne /Agent. s � �"� Date: �/CAI